Active NPI
Nathaniel Foster, PTA
- Physical Therapy Assistant
- Longmont, CO
National Provider Identifier
1144593872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 8792
- Practice address
- 205 S Main St
Suite C
Longmont, CO 80501-1716 - Phone
- (303) 702-1612
- NPI assigned
- Feb 10, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 8792 | OR | Primary |
Addresses
Primary practice location
205 S Main St
Suite C
Longmont, CO 80501-1716
Mailing address
105 E Chester St
Apartment a
Lafayette, CO 80026-1191
Phone (513) 602-0928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8792 | OR | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328832000000",
"number": "1144593872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 E CHESTER ST",
"address_2": "APARTMENT A",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800261191",
"telephone_number": "513-602-0928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 S MAIN ST",
"address_2": "SUITE C",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805011716",
"telephone_number": "303-702-1612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "NATHANIEL",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-10",
"last_updated": "2012-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OR",
"license": "8792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.